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TEL:
+44 (0)1481 259596
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Course Dates & Pre-registration
Pre-registration Form
This form is not a course booking form. This form is for you to complete to show interest in
specific courses and preferred dates
, for courses offered at the MAT Mondial Explosive Ordnance Disposal & De-mining School in the Republic of Kosovo.
If you wish to confirm your booking please complete the Invoice Booking Form, which will be sent to you on receipt of this form, and return together with your deposit payment.
* indicates a required field.
Please specify which course(s) you are interested in attending.
*
IMAS LEVEL 4 EOD COURSE [EOD4-1-12] (5th March through to 13th April 2012)
FIELD OPERATOR/IMAS LEVEL 2 EOD COURSE [FO2-1-12] (16th April through to 11th May 2012)
IMAS LEVEL 3 EOD COURSE [EOD3-1-12] (14th May through to 8th June 2012)
FIRST PERSON ON SCENE (FPOS) - Intermediate Medical Course [MED-1-12] (11th June through to 15th June 2012)
FIELD OPERATOR/IMAS LEVEL 2 EOD COURSE [FO2-2-12] (18th June through to 13th July 2012)
IMAS LEVEL 3 EOD COURSE [EOD3-2-12] (16th July through to 10th August 2012)
FIRST PERSON ON SCENE (FPOS) - Intermediate Medical Course [MED-2-12] (13th August through to 17th August 2012)
IMAS LEVEL 4 EOD COURSE [EOD4-2-12] (3rd September through to 12th October 2012)
FIELD OPERATOR/IMAS LEVEL 2 EOD COURSE [FO2-3-12] (15th October through to 9th November 2012)
IMAS LEVEL 3 EOD COURSE [EOD3-3-12] (12th November through to 7th December 2012)
FIRST PERSON ON SCENE (FPOS) - Intermediate Medical Course [MED-3-12] (10th December through to 14th December 2012)
Candidate Information
Please answer the following questions so we can ensure you have selected the appropriate course, or better determine which courses would suit your needs and enable you to attain suitable qualifications in Mine Action (MA).
Name
*
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First
Last
Suffix
Date of Birth
*
Nationality
*
Current Job Title
*
Current Employer
*
Address
*
Street Address
Address Line 2
City
State / Province / Region
Zip / Postal Code
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Virgin Islands, U.S.
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Country
Email
*
Contact Telephone Number
*
Candidates Qualifications
Please list any relevant mine action qualifications i.e. EOD operator (DEODS), deminer, team leader qualified.
Qualification 1
Date from:
Date to:
Qualification
Institution
Qualification 2
Add another qualification
Qualification 2
Date from:
Date to:
Qualification
Institution
Qualification 3
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Qualification 3
Date from:
Date to:
Qualification:
Institution
Qualification 4
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Qualification 4
Date from:
Date to:
Qualification
Institution
Candidates Summary of Relevant Work Experience
If applicable, briefly please list any relevant mine action experience (e.g. time spent as a deminer, as a supervisor, as an EOD team leader.
Position 1
Date from:
Date to:
Job Title
Company
Position 2
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Position 2
Date from:
Date to:
Job Title
Company
Position 3
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Position 3
Date from:
Date to:
Job Title
Company
Position 4
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position 4
Date from:
Date to:
Job Title
Company
Final questions
Reason for attending selected course(s)
*
Please summarise why you wish to attend selected course i.e. have relevant qualifications for current job role, to further mine action career, needed for specified contract or wish to pursue a new career in mine action with no previous mine action experience.
How did you hear about us?
*
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